Cracow CTO&CHIP Course
Course Directors:
prof. Kambis Mashayekhi, MD President of EuroCTO Club
prof. Stanisław Bartuś MD, PhD
prof. Leszek Bryniarski MD, PhD, FESC
prof. Jacek Legutko MD, PhD, FESC
Course co-Directors:
assoc. prof. Krzysztof Bryniarski MD, PhD, FESC
prof. Paweł Gąsior MD, PhD, FESC
prof. Krzysztof Reczuch MD, PhD
prof. Łukasz Rzeszutko MD, PhD
COURSE DIRECTORS
COURSE DIRECTORS
COURSE CO-DIRECTORS
Faculty
Information
SCIENTIFIC PROGRAMME
We invite you to familiarize yourself with the details of the program.
Opening
Session 1
Chair: S. Bartuś, L. Bryniarski, O. Goktekin, Z. Huczek, M. Tajstra, W. Wojakowski, W. Zimoch
Discussants: D. Beshley, A. Dębski, A. Dziewierz, M. Kałużna–Oleksy, Ł. Rzeszutko, J. Wójcik
Live case 1 (CTO case)
Operators: K. Mashayekhi - transmission from Herzzentrum Lahr, Germany
Live case 2 (Protected complex PCI)
Operators: M. Ferenc, F. Rahimi - transmission from University Heart Center Freiburg - Bad Krozingen, Germany
Lectures – Keynote lectures
- History of OCT (the most beautiful story in cardiology)
I. K. Jang - Inflammation, plaque biology and the hidden risk profile of the CHIP patient
T. Guzik - From LAST to Mini STAR
A.R. Galassi
Coffee Break
Session 2
Chair: J. Drozd, J. Kochman, M. Lesiak, M. Tajstra, A. Witkowski, W. Wojakowski
Discussants: M. Hawranek, P. Kwiatkowski, M. Radomski, T. Rakowski, R. Wojdyła, R. Wolny,
Live (live in the box) case 3 (High Risk PCI)
Operators: S. Bartuś, Ł. Rzeszutko, A. Pawlik, K. Bryniarski (imaging)
(MSCT and MRI – B. Chyrchel, W. Wojciechowska)
Live in the box case 4 (High Risk PCI) The Saint John Paul II Hospital in Cracow, Poland
Operators: J. Legutko, P. Kleczyński, Ł. Niewiara
Lectures – To protect or not to protect ? Mechanical circulatory support for CHIP procedures
- Current indications for mechanical circulatory support in shock and in elective PCI
J. Kochman - State of the art for large bore access – from simple to complex
J. Sacha - Do we properly use hemodynamic parameters during protected PCI?
A. Pawlik - Expanding the role of DCB in complex PCI
A. Jurado Román
Lunch
Session 3
Chair: K. Bryniarski, M. Dąbrowski, P. Gąsior, I.K. Jang, J. Legutko, G. Sobieszek, W. Wojakowski
Discussants: G. Mężyński, A. Ochała, R. Targoński, W. Zajdel, M. Tajstra, W. Zajdel
Live case 5 (CTO PCI)
Operators: O. Goktekin, W. Zasada
IVUS: L. Bryniarski, K. Pujdak
Live in the box case 6 (PCI of calcified lesion)
Operators: (The Saint John Paul II Hospital in Cracow, Poland)
Oerators: P. Kleczyński, D. Rzeźnik
Lectures – Ischemia testing and intravascular imaging in CTO&CHIP – a toll or toy?
- Plaque erosion: pathogenesis, AI-assisted diagnosis, and the future management concept
I.K. Jang - Viability and ischemia testing prior to CHIP - what do we know
J. Rajewska-Tabor - MSCT in CTO & CHIP procedures
M. Opolski - Improving outcomes with imaging
K. Bryniarski - OCT vs IVUS in CHIP procedures
P. Gąsior
ABBOTT / OCT
- Optical Coherence Tomography Workshop (OCT)
Session 1
CTO & CHIP – what’s new in 2026
Chair: A. R. Galassi, O. Goktekin, I.K. Jang, F. Cuculi, P. Gąsior, M. Opolski, Z. Ruzsa
Discussants: M. Chyrchel, P.Maciejewski, V. Novotny, A. Pietrasik, D. Rzeźnik, L. Sorokhtey, A. Zeliaś
Live case 1 (CTO PCI)
Operators: P. Agostoni, Ł. Rzeszutko
(MSCT and MRI – B. Chyrchel, W. Wojciechowska)
Live case 2 (PCI of CTO calcified lesion)
Operators: S. Bartuś, L. Bryniarski, T. Pawłowski
(MSCT and MRI – B. Chyrchel, W. Wojciechowska)
Live case 3 (CTO case): (transmission from Humanitas Research Hospital, Milano, Italy)
Operators: G. Gasparini, D. Regazzoli
Lectures:
- CTO PCI – retrograde approach - the current state of the art
C. Di Mario - Left Main and bifurcation PCI – the current state of the art
J. Legutko - Calcified lesions – the current state of the art
F. Cuculi - How to build up CTO and CHIP
A.R. Galassi
Coffee Break
Session 2
Chair: P. Agostoni, S. Bartuś, C. Di Mario, J. Legutko, K. Milewski, T. Pawłowski, J. Wójcik
Discussants: M. Cugowska, Ł. Klima, W. Skorupski, P. Wilkołek, W. Zimoch
Live case 4 (CTO PCI)
Operators: M. Carlino, M. Opolski, A. Dziewierz
(MSCT and MRI – B. Chyrchel, W. Wojciechowska)
Live case 5 (CTO PCI)
Operators: Z. Ruzsa, P. Gąsior, G. Heba
(MSCT and MRI – B. Chyrchel, W. Wojciechowska)
- Nightmares and spectacular successes – presentation of selected cases (winner – PCR fee)
- DCBs in CTO: when less is more
M. Kryjak - CTO PCI after OHCA: When recanalization is only part of the success
A. Gąsecka-van der Pol - One balloon dilatation too far? PCI of LAD gone sideways
K. Bryniarski - Fractured and embolized guide extension catheter tip during complex PCI of a calcified Left Main/LAD bifurcation: percutaneous trans-septal retrieval
J. Jasiński - Double CTO treated with rotational atherectomy and drug-coated balloons
J. Roczniak - Expect the unexpected - Complex multivessel PCI case presentation
Ł. Furtan
- DCBs in CTO: when less is more
Lunch
Session 3
Calcified and complex lesions
Chair: S. Bartuś, L. Bryniarski, M. Carlino, W. Zimoch
Discussants: G. Heba, M. Kałużna-Oleksy, G. Mężyński, M. Tajstra, W. Zasada, A. Żurakowski
Live case 6 (CTO PCI)
Operators: A. R. Galassi, Z. Ruzsa, T. Rakowski
(MSCT and MRI – B. Chyrchel, W. Wojciechowska)
Live case 7 (PCI of calicified lesion)
Operators: P. Agostoni, M. Wojdyła
(MSCT and MRI – B. Chyrchel, W. Wojciechowska)
Lectures
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- Choosing the first strategy
L. Bryniarski - DCB in complex disease: when is enough?
W. Wańha - Use of dissection techniques in complex CTO anatomies
M. Opolski - What to treat in CTO of post CABG patients - the graft or native artery?
O. Goktekin - KRAKPELLA registry results
Ł. Rzeszutko
- Choosing the first strategy
Closing remarks
S. Bartuś, L. Bryniarski, J. Legutko
EVENT VENUE
Conference will take place in University Hospital in Cracow
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